Stress urinary incontinence
Stress urinary incontinence occurs when your bladder leaks urine during physical activity or exertion. It may happen when you cough, sneeze, lift something heavy, change positions, or exercise.
Incontinence - stress; Bladder incontinence stress; Pelvic prolapse - stress incontinence; Stress incontinence; Leakage of urine - stress incontinence; Urinary leakage - stress incontinence; Pelvic floor - stress incontinence
Stress incontinence occurs when the tissue that supports your urethra gets weak.
When either set of muscles become weak, urine can pass when pressure is placed on your bladder. You may notice it when you:
Weakened muscles may be caused by:
Stress incontinence is common in women. Some things increase your risk, such as:
The main symptom of stress incontinence is leaking urine when you:
Exams and Tests
Your health care provider will perform a physical exam. This will include:
Tests may include:
Treatment depends on how your symptoms affect your life.
There are 3 types of treatment for stress incontinence:
There are no medicines for treatment of stress incontinence. Some providers may prescribe a medicine called duloxetine. This medicine is not approved by FDA for the treatment of stress incontinence.
Making these changes may help:
Bladder training may help you control your bladder. The person is asked to urinate at regular intervals. Slowly, the time interval is increased. This causes the bladder to stretch and hold more urine.
PELVIC FLOOR MUSCLE TRAINING
There are different ways to strengthen the muscles in your pelvic floor.
If other treatments do not work, your provider may suggest surgery. Surgery may help if you have bothersome stress incontinence. Most providers suggest surgery only after trying conservative treatments.
Getting better takes time, so try to be patient. Symptoms most often get better with nonsurgical treatments. However, they will not cure stress incontinence. Surgery can cure most people of stress incontinence.
Treatment does not work as well if you have:
Physical complications are rare and most often mild. They can include:
The condition may get in the way of social activities, careers, and relationships. It also may lead to:
Complications associated with surgery include:
When to Contact a Medical Professional
Call your provider if you have symptoms of stress incontinence and they bother you.
Doing Kegel exercises may help prevent symptoms. Women may want to do Kegels during and after pregnancy to help prevent incontinence.
American Urological Association website. Surgical treatment of female stress urinary incontinence (SUI): AUA/SUFU guideline (2017). www.auanet.org/guidelines/stress-urinary-incontinence-(sui)-guideline. Published 2017. Accessed February 13, 2020.
Hashim H, Abrams P. Evaluation and management of men with urinary incontinence. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 72.
Kobashi KC. Evaluation and management of women with urinary incontinence and pelvic prolapse. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 71.
Patton S, Bassaly RM. Urinary incontinence. In: Kellerman RD, Rakel DP, eds. Conn's Current Therapy 2020. Philadelphia, PA: Elsevier; 2020:1110-1112.
Resnick NM. Urinary incontinence. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 23.
Review Date: 1/15/2020
Reviewed By: Sovrin M. Shah, MD, Assistant Professor, Department of Urology, The Icahn School of Medicine at Mount Sinai, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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